Blood flow changes of the anterior humeral circumflex artery decrease with the scapula in internal rotation

Verfasser / Beitragende:
[Yoshihiro Hagiwara, Kenji Kanazawa, Akira Ando, Akimoto Nimura, Takashi Watanabe, Kazuhiro Majima, Keiichi Akita, Eiji Itoi]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1467-1472
Format:
Artikel (online)
ID: 605460051
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024 7 0 |a 10.1007/s00167-013-2823-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2823-2 
245 0 0 |a Blood flow changes of the anterior humeral circumflex artery decrease with the scapula in internal rotation  |h [Elektronische Daten]  |c [Yoshihiro Hagiwara, Kenji Kanazawa, Akira Ando, Akimoto Nimura, Takashi Watanabe, Kazuhiro Majima, Keiichi Akita, Eiji Itoi] 
520 3 |a Purpose: Poor posture is strongly related to scapular kinematics and shoulder diseases. The purpose of this study was to clarify the blood flow changes of the anterior and posterior humeral circumflex arteries in reference to the scapular position and to clarify anatomical features related to the changes in blood flow. Methods: Cadaveric shoulders were dissected to elucidate the anatomical difference between the two arteries. The blood flow of these arteries in healthy volunteers (22-48years, 113 shoulders) was evaluated by MRI with changing the position of the scapula (internal and external rotation). Results: The anterior humeral circumflex artery was attached to the subscapularis tendon and located beneath the subdeltoid bursa. The posterior humeral circumflex artery was located between the deltoid muscle and the bursa, which allowed free movement during scapular motion. There were no direct extraosseous anastomoses between the two arteries. Compared with the posterior humeral circumflex artery, the anterior humeral circumflex artery decreased blood flow with the scapula in internal rotation. Conclusions: No direct extraosseous anastomoses between the two arteries were observed. Internal rotation of the scapula decreased blood flow of the anterior humeral circumflex artery, which might be related to various pathologies of the shoulder. Level of evidence: Diagnostic studies, Level III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Humeral circumflex artery  |2 nationallicence 
690 7 |a Shoulder  |2 nationallicence 
690 7 |a MRI  |2 nationallicence 
690 7 |a Blood flow  |2 nationallicence 
690 7 |a Scapular position  |2 nationallicence 
690 7 |a Posture  |2 nationallicence 
700 1 |a Hagiwara  |D Yoshihiro  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Kanazawa  |D Kenji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Ando  |D Akira  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Nimura  |D Akimoto  |u Unit of Clinical Anatomy, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-8519, Tokyo, Japan  |4 aut 
700 1 |a Watanabe  |D Takashi  |u Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Majima  |D Kazuhiro  |u Department of Radiology, Takeda General Hospital, 3-27 Yamaga-machi, 965-8585, Aizuwakamatsu, Japan  |4 aut 
700 1 |a Akita  |D Keiichi  |u Unit of Clinical Anatomy, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-8519, Tokyo, Japan  |4 aut 
700 1 |a Itoi  |D Eiji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1467-1472  |x 0942-2056  |q 23:5<1467  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2823-2  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2823-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hagiwara  |D Yoshihiro  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kanazawa  |D Kenji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ando  |D Akira  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nimura  |D Akimoto  |u Unit of Clinical Anatomy, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-8519, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Watanabe  |D Takashi  |u Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Majima  |D Kazuhiro  |u Department of Radiology, Takeda General Hospital, 3-27 Yamaga-machi, 965-8585, Aizuwakamatsu, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Akita  |D Keiichi  |u Unit of Clinical Anatomy, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-8519, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Itoi  |D Eiji  |u Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1467-1472  |x 0942-2056  |q 23:5<1467  |1 2015  |2 23  |o 167